The ability of epidermal growth factor receptor (EGFR) to control cell fate is defined by its affinity for ligand. Current models suggest that ligand-binding heterogeneity arises from negative cooperativity in signaling receptor dimers, for which the asymmetry of the extracellular region of the Drosophila EGFR has recently provided a structural basis. However, no asymmetry is apparent in the isolated extracellular region of the human EGFR. Human EGFR also differs from the Drosophila EGFR in that negative cooperativity is found only in full-length receptors in cells. To gain structural insights into the human EGFR in situ, we developed an approach based on quantitative Förster resonance energy transfer (FRET) imaging, combined with Monte Carlo and molecular dynamics simulations, to probe receptor conformation in epithelial cells. We experimentally demonstrate a high-affinity ligand-binding human EGFR conformation consistent with the extracellular region aligned flat on the plasma membrane. We explored the relevance of this conformation to ligand-binding heterogeneity and found that the asymmetry of this structure shares key features with that of the Drosophila EGFR, suggesting that the structural basis for negative cooperativity is conserved from invertebrates to humans but that in human EGFR the extracellular region asymmetry requires interactions with the plasma membrane.The human epidermal growth factor receptor (hEGFR) is a classic receptor tyrosine kinase (26). The hEGFR was originally identified in A431 epithelial carcinoma cells (47) and consists of an extracellular growth factor-binding region, a single-pass transmembrane region, and a cytoplasmic domain that has tyrosine kinase activity (42).The extracellular domain of hEGFR is comprised of four subdomains (I to IV). The unliganded receptor monomer is held in a closed conformation by an intramolecular tether formed by loops in subdomains I and III (17). In ligand-occupied receptor dimers, the intramolecular tether is broken, and the receptor is opened into an extended conformation which interacts with another monomer, forming a back-to-back dimer (19, 36). Ligand-induced receptor dimerization is thought to be the key stimulatory step, leading to allosteric transactivation of the two associated intracellular hEGFR kinases (42).The EGFR family has diversified during evolution from one ligand/one receptor in Caenorhabditis elegans, to multiple ligands and one receptor in flies, and to a family of multiple ligands and four closely related receptors that form homo-and heterodimers in humans (10). The EGFR itself is highly conserved across species. Wild-type hEGFR and Drosophila EGFR (dEGFR) show extensive conservation, with 55% homology in the kinase domain and 41% homology in the ligandbinding portion of the extracellular domain (39).An important unresolved question regarding the mechanism of hEGFR activation is the structural basis for the concave-up Scatchard plots exhibited by epidermal growth factor (EGF) (31, 43). These plots were initially interpreted ...